Individual provider Active NPI

Wilbert Dess Rodriguez, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1952532046
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN773 Issued in FL
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 290-9556
Fax
(407) 290-9509
NPI assigned
Aug 6, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17652 PR
General Practice Physician 208D00000X ACN773 FL Primary

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687

Other identifiers 5

IdentifierTypeStateIssuer
DM-17524-0OtherPRASSMCA
79858OtherPRREGISTRO JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PR
ACN773OtherFLMEDICAL LICENSE
17652OtherPRCOLEGIO DE MEDICOS CIRUJANOS
17652OtherPRMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405000895 FL Practitioner - General Practice 7719176304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

3140 S Falkenburg Rd
Suite 102
Riverview, FL 33578-2594
Phone (844) 665-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince May 11, 2020 Accepting new patients
Orlando Family Physicians, LLC General Practice CurrentSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
El Medico Visitante...,P.S.C. Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

121 S Orange Ave
Ste 940
Orlando, FL 32801
Phone 4076589687 ext. 129

3140 S Falkenburg Rd
Ste 102
Riverview, FL 33578
Phone (813) 337-0079

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Interoperability endpoints

  • Direct secure messaging: wilbert.rodriguez@wwmp.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952532046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE STE 940",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013234",
            "telephone_number": "407-658-9687",
            "fax_number": "407-658-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-290-9556",
            "fax_number": "407-290-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "WILBERT",
        "middle_name": "DESS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17652",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM-17524-0",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PR",
            "identifier": "79858",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ACN773",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLEGIO DE MEDICOS CIRUJANOS",
            "identifier": "17652",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "17652",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.